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Organization
THE SHEPHERDS MISSION INC
Active
Organization
THE SHEPHERDS MISSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIQUE WASHINGTON SMALLS MS (CHIEF OPERATIONS OFFICER)
(336) 772-2697
Entity
Organization
Contact information
Practice address
2303 S HOLDEN RD, APT 103K, GREENSBORO, NC 27407-5953
(336) 772-2697
Mailing address
PO BOX 254, REIDSVILLE, NC 27323-0254
(336) 772-2697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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